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1114994340
SUSAN M MIELKE
ALTON, IL
NPI
1114994340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007045)
Enumeration Date
2006-03-07
Last Update Date
2011-11-07
Business Address
Dr. SUSAN M MIELKE D.Min. LCPC (IL)
307 HENRY ST SUITE 308
ALTON, IL 62002-6326
Phone number: 618-474-7300
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Mailing Address
Dr. SUSAN M MIELKE D.Min. LCPC (IL)
307 HENRY ST SUITE 308
ALTON, IL 62002-6326
Phone number: 618-474-7300
Copy
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